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Dr Hitesh Patel is Consultant – Pain Management & Palliative Care he recieved his M.D. from B.J. Medical College Ahmedabad, Asia’s largest hospital, Civil Hospital, Ahmedabad. He earned his F.I.P.M. (Fellow In Pain Management) at Daradia Pain Hospital in Kolkata, which is affiliated with the Aesculap Academy in Germany. He received his C.C.P.P.M. (Certificate Course in Pain and Palliative Medicine) from Gujarat Cancer Research Institute Ahmedabad, the state’s largest cancer hospital.

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  • An Epidural Injection is a procedure that involves injecting a powerful anti-inflammatory medication – either an anesthetic or a steroid – into the space around your spinal nerves known as the epidural space. The goal of an epidural procedure is to provide pain relief (analgesia).
  • Epidural Injections are one of the most commonly performed pain relief procedures.
  • When you get injured, for example, the nerve in that area of your body sends a pain signal that travels through your spinal cord to your brain and back. An epidural anesthetic temporarily numbs the spinal nerves, which then blocks pain signals. The steroid coats the irritated nerves that are causing you pain and works to reduce swelling. The steroid allows the nerve(s) time to heal. 
  • Epidural Injections can lead to temporary, long-term, or permanent pain relief.


People who have pain in their neck, arm, lower back, or leg due to the following conditions may benefit from epidural injections:

  • Spinal Stenosis.
  • Spondylolisthesis.
  • Herniated disk (slipped, ruptured, or bulging disk).
  • Degenerative disk disease.
  • Sciatica.
  • CERVICAL – Cervical Disc prolapse (upper limb radiculopathy)
  • THORACIC – Post Herpetic Neuralgia, Thoracic Disc prolapse
  • LUMBAR – Disc prolapse, Sciatica, Lumbar Canal Stenosis
  • CAUDAL – Sciatica, Lumbar Canal Stenosis


The procedure is done in the following way:

  • The patient lies face down on an x-ray table with a pillow under his stomach.
  • The doctor cleans the area of your back where the needle will be inserted. Medicine may be used to numb the area. 
  • The doctor inserts a needle into your back. The doctor likely uses an x-ray machine that produces real-time images to help guide the needle to the correct spot in your lower back.
  • A mixture of steroids and numbing medicine is injected into the area. This medicine decreases swelling and pressure on the larger nerves around your spine and helps relieve pain. The numbing medicine can also identify the painful nerve.
  • You may feel some pressure during the injection. Most of the time, the procedure is not painful. It is important not to move during the procedure because the injection needs to be very precise.
  • You are watched for 15 to 20 minutes after the injection in the recovery room before going home.